Centene ACT ME Review Questions & Answers Correct 100%

Agents may be investigated after being suspected of noncompliant activity reported through a Complaint Tracking Module (CTM), grievance, secret shop finding, internal audit or reporting. - ANSWERSTrue Which of the following health plans are now available through Centene Corporation? Select the best answer. - ANSWERSHealth Net, Fidelis Care, Allwell, Ascension Complete, WellCare True or False: The four stages of coverage are NOT the same for PDP and MAPD. - ANSWERSFalse True or False: PII stands for Personally Identifiable Information and includes any information that permits the identity of an individual to be inferred, including information linked or linkable to the individual. - ANSWERSTrue True or False: When enrolling a beneficiary, you should ensure that you enter the provider ID of a specialist and not a primary care physician (PCP). - ANSWERSFalse True or False: An agent could be terminated for cause if they fail to comply with a compliance investigation, encourage others to avoid the